MEMEBERSHIP APPLICATION FOR DIXIE
AMCA
Cost: $8 per year
(Please print application & send dues to:
Rose Hale, Treasurer; 1708 Indian Hills Ct., Augusta,
Ga 30906
Any questions for Rose phone her @ (706) 796-0429
or , email her.)
PLEASE NOTE: You MUST
be an AMCA national member to join the Dixie chapter.
Name________________________
Address______________________
City, State,Zip___________________
AMCA national #_________________
Phone # (___)___________________
Bikes Owned (optional)_____________
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Mathews.